INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING

MULTIPLE CHOICE 1. Which statement indicates that the child’s parents understand how to perform respiratory therapy for a child with cystic fibrosis? a. “We do her postural drainage before the aerosol therapy.” b. “We give her respiratory treatments when she is coughing a lot.” c. “We give the aerosol followed by postural drainage before meals.” d. “She needs respiratory therapy every day when she has an infection.” ANS: C Postural drainage for the child with ...

MULTIPLE CHOICE 1. A child with thalassemia major receives blood transfusions frequently. A nurse is aware that which of the following is a complication of repeated blood transfusions? a. Hemarthrosis b. Hematuria c. Hemoptysis d. Hemosiderosis ANS: D As a result of repeated blood transfusions, excessive deposits of iron (hemosiderosis) are stored in tissues. DIF: Cognitive Level: Comprehension REF: 647 OBJ: 16 TOP: Thalassemia KEY: Nursing Process Step: Data Collection...

MULTIPLE CHOICE 1. A nurse explains how to position an infant with tetralogy of Fallot if the infant suddenly becomes cyanotic. Which statement by the caregiver leads the nurse to determine the parent understood the instructions? a. “If the baby turns blue, I will hold him against my shoulder with his knees bent up toward his chest.” b. “If the baby turns blue, I will lay him down on a firm surface with his head lower than the rest of his body.” c. “If the baby turns blue, I ...

MULTIPLE CHOICE 1. A nurse caring for a child with cerebral palsy (CP) administers the medication baclofen in order to decrease which of the following symptoms? a. Pain b. Seizures c. Drooling d. Spasticity ANS: D Baclofen reduces spasticity. When given via an implanted pump it is more effective then when given orally. DIF: Cognitive Level: Comprehension REF: 514 OBJ: 9 TOP: Cerebral Palsy KEY: Nursing Process Step: Implementation 2. A nurse providing care to a ch...

MULTIPLE CHOICE 1. What finding would a nurse assessing the neurovascular status of a child in Russell traction report immediately? a. Skin that is warm to the touch b. Capillary refill less than 3 seconds c. Ability to wiggle toes d. Bluish colouration of skin ANS: D Cyanosis or pallor noted in an extremity is an indication of circulatory impairment. DIF: Cognitive Level: Application REF: 568 OBJ: 7 | 8 TOP: Neurovascular Assessment KEY: Nursing Process Step: ...

MULTIPLE CHOICE 1. An adolescent has just had a generalized seizure and collapsed at school. When should a nurse should call 911? a. The seizure lasts more than 5 minutes. b. The child is sleepy and lethargic after the seizure. c. The child vomited at the onset of the seizure. d. The child is confused and has slurred speech after the seizure. ANS: A If there are multiple seizures or if seizures last more than 5 minutes, call 911 because these are indicators of possible status e...

MULTIPLE CHOICE 1. A 13-year-old girl has been hospitalized for the past week. When discussing the girl’s feelings about her illness, what would the nurse expect the girl to express as her biggest concern? a. Invasive procedures b. Loss of control c. Appearance d. Separation from her boyfriend ANS: C Illness during early adolescence (12 to 15 years) is seen mainly as a threat to body image. DIF: Cognitive Level: Comprehension REF: 453 OBJ: 11 TOP: The Hospitalized Adol...

MULTIPLE CHOICE 1. Which herbal remedy used by a patient taking anticoagulant should a nurse report to a primary health care provider? a. Garlic b. Chamomile c. Ginseng d. Kava-kava ANS: A Garlic increases bleeding time and caution should be used when the patient is taking an anticoagulant. DIF: Cognitive Level: Application REF: 498 OBJ: 4 TOP: Herbal Remedies KEY: Nursing Process Step: Data Collection 2. What should a nurse remind a parent who is considering home...

MULTIPLE CHOICE 1. A 4-year-old child asks tearfully if the IM injection will hurt. What is a nurse’s most effective response? a. “No. It is over before you know it.” b. “Yes. It will sting a little.” c. “No. Would you like to see the syringe?” d. “Yes. Your mom and I are going to hold you to help you be still.” ANS: B Truthful answers will give a child a realistic expectation and help establish trust in the nurse. DIF: Cognitive Level: Application REF: 47...

MULTIPLE CHOICE 1. What is a nurse’s best advice to a parent about a preschooler’s “imaginary friend”? a. Having imaginary friends is a sign that the child has low self-esteem. b. It is common for preschoolers to have imaginary friends. c. Preschoolers invent an imaginary friend when they feel overwhelmed. d. The best approach to dealing with an imaginary friend is to ignore them. ANS: B Imaginary friends are common and normal during the preschool period and serve many ...